Gender Affirming Products Program - 2025 Adults (17 and under) Application
This program is for Transgender, Non-Binary, Two-Spirit, Genderqueer, Genderfluid, and other Gender Expansive people in Eastern Washington and North Idaho. It is intended to help those who don't have the means to access gender affirming products and services, or cannot comfortably afford to purchase them on their own. After filling out this application one of our staff members will contact you directly to chat about what you need and how to get it to you safely. Please reach out to gapp@spectrumcenterspokane.org with any questions or if you need help filling out this form.
Contact info
How do we reach you, and how do you want us to address you?
Name (please list your chosen name, not government name if that is different)
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First Name
Last Name
Pronouns
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She/her
He/him
They/them
Xe/xem
Ze/zir
Ey/em
Fae/faer
Ae/aer
It/its
All pronouns
No pronouns
Other
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Contact Preference
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Text
Email
Signal
Whatsapp
Phone call
If phone call was selected, do we have your permission to leave a voicemail?
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Yes
No
Not applicable
Identity and demographics
We know that identities are complex, and that multiple choice lists are often times very restrictive and fail to capture the nuance and richness of identities. While we have to work within the confines of technology and data collection, we do not want anyone to have to choose a label that does not fully represent them, or feel excluded from the options listed. Each question is enabled for multiple responses, and the "Other" option opens a fillable response area to provide space for those complexities. Please feel free to share as much as or as little as you would like regarding your identities.
This program is intended for people who identify somewhere along the transgender spectrum. How do you identify?
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Cisgender. The gender I was assigned at birth is the gender I identify with
Not cisgender. I do not identify with the gender I was assigned at birth
Questioning. I'm not sure yet
Other
What is your gender identity?
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Woman
Man
Non-binary
Two Spirit
Intersex
Genderqueer
Genderfluid
Agender
Transmasc
Transfemme
Demiboy
Demigirl
Questioning
Other
What is your race and ethnicity?
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Asian
Black
Hispanic
Latine
Latinx
Indigenous
American Indian
Native Alaskan
Middle Eastern
Pacific Islander
White, not Hispanic, Latine, or Spanish Origin
White, with Hispanic, Latine, or Spanish Origin
Other
How old are you?
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Date of Birth
What zip code do you live in?
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GAPP Intake
Help us get ready to reach out to you
Have you used GAPP before?
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Yes
No
What products or services are you hoping to use this program for? This is not an exclusive list, but a way for us to help prepare in advance.
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Legal name change
Other Identity Documents (passport, birth certificate, etc)
Clothing
Salon Services
Body shapeware
Tailoring
Makeup
Accessories
Other
Do you have any accommodation requests to help make this process more accessible?
Are there any safety or privacy considerations you would like us to be aware of when it comes time to contact you?
Is there anything else you would like us to know before we reach out to you?
Disclaimer
By submitting this application, you acknowledge and agree to the following terms:The data you provide will not be used to personally identify you, but may be shared on a combined and anonymized form for purposes of grant reporting.During the intake process, you may be asked to provide additional demographic information. This information will not affect eligibility and will be used solely for program reporting and monitoring purposes. Submission of this application does not guarantee acceptance into the program. All applications will be reviewed, and acceptance is based on the program's eligibility criteria, availability, and other factors.
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I have read and consent to the above disclaimer
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